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HomeMy WebLinkAboutPERMIT, MAPS, MEMOS, & CHECKLIST - 07-00386 - American Self Storage - Addition - Site PlanMadison County / City of Rexburg GIS Page 1 of I Z DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations. http: / /gislintranetlarcims /printable. aspx ?MapURL= http: / /agentsmithloutputlarcIMS _agents... 9/10/2008 Site Plan Review Checklist Project: YtU Y 1X L PL+�'1Q Permit # Zone: U''B, Surrounding Land Uses: Elevations submitted: Landscape Plan submitted: V/" Lighting Plan submitted:V/ Use Consistent with zoning designation Compliance with Comprehensive Plan Flood Plain Check Plans are to scale North arrow Building Coverage Building setbacks: Front yard Side yard Back yard Building Height Minimum distance between buildings k Clear site tirangle Driveway, parking lot dimensions Parking space # Parking space sizes Parking isle widths f k Handicapped requirements v�YY) V —fit Unloading, loading area Parking spaces located in close proximity to buildings Sidwalks along right of way Internal pedestrian walkways Snow storage Open /common spaces functional? Fencing /screening (HVAC equipment, dumpsters, parking, etc.) , WA \NJL Trash dumpster shown and screened Buffering /landscaping requirements Lighting Design standards Committee Meeting Held If needed �„�wm � bC, v�\ �W (W D k wy - - - ITD 2110 (Rev. 10 -03) Right- Of- Way roachment Application an ermit for Utilities c Page 1 of 2 V ' Project Number ® New Installation El Upgrade [J Relocation ❑ Other Key Number Beginning Station Ending Station Permit Number ❑ Overhead ® underground ❑ Overhead and Underground Both Involved Method of Installation 06 -- C& " — /a 4, Segment Code Route Access Control Type (I -V) Ending Milepost Roadway Type (Urban, Rural) Number of Lanes Sections HWY 33 1 331.3 1 331.3 1 6N GPS Coordinates Latitude r Longitude Elevation Fee $ � 0 !-= o ❑ Inspection Fee Required $ ❑ Performance Bond Required $ Utility Company Complete Below Local Government Approval When Required Signature Title Date Department Approval ® New Installation El Upgrade [J Relocation ❑ Other Permit Type ❑ Gas ® Water ❑ Cable ❑ Telephone ❑ Electric ® Sewer ❑ Fiber Optic ❑ Other ❑ Overhead ® underground ❑ Overhead and Underground Both Involved Method of Installation ❑ Jack ❑ Bore [:]Cut ® Trench ❑ Casing ❑ Plow ❑ Other Route Beginning Milepost Ending Milepost Township Range Sections HWY 33 1 331.3 1 331.3 1 6N 1 40E 1 17,18 r County(s) Name of Nearest Crossroad Distance From Crossroad (Feet) o Madison North Salem Road 0 FT C Distance From Center of Road (Feet) Right -of -Way Line (Feet) Right -of -Way Width (Feet) Water- 16.7 ft, Sewer 26.7 ft oR I Angle of Crossing (Degrees) Vertical Clearance (Feet) Depth (Inch) NA Water- 6 ft, Sewer- 7 ft Potential (V, KV) Pipe Size (Inch Pressure (PSI) Facility Water- 12 ", Sewer- 12" Water- 65 psi, Sewer 0 psi Specifications Structure Attachment Type (Requires Bridge Approval) Other Permits ❑ Railroad ® DEQ ❑ 404 (COE) ❑ BLM ❑ Forest Service ❑ Tribal Required ® Yes ❑ No ❑ Other Attach the following: 1. Plans or drawings (3 sets) showing proposed work, all utility locations, trench details, and traffic control. (Include Department roadway alignment or project plans when available.) 2. Details or shop drawings for attachment to any structures within the highway right -of -way. 3. Special P rovisi ons and /or variance when applicable. t certi #h 1 a at r�i!� e A Ir C ©m ark Re reset ,gtesti rert7tlssiorl �ttuilttterfttlt# the �atkrM Highway.lrlrf� ` Getr�ra ltd stavtstors a� ,the ,versa✓ r _ rnF"A�e.'d a .. �'R.. ..:... 4 P nl �C .y a . k,& Y. A' . "� b „ w...*z� .� -, >. , o' i, .v , � ..., ., . •_ �. °.v „m Company Name Authorized Representative (Print) Phone American Self Storage Danny Miller 1 (541) 290 -7815 Address City State Zip 270 American Street Rexburg 1 ID 1 83440 Signature of Authorized Representati Date �f O d� SUbjeCt tl7 all teCtCTs; ctt d4 � b N. si#Tn§ gho1N tSt f t } a �kiertf5, }JLrC CS 1 4 r t tltf3C ` #I1t 3klfife „1tc flag � nt 1�:��CfCJf`[TI tYYe V��JCI� tIPS�Gr�b�.,'� Local Government Approval When Required Signature Title Date Department Approval 15 1h' pict Yngineyr Date 6 Z6 O8 NOTE: Permit will be considered Temporary until final inspection and ap�foval by a Department representative. 1 ITD 02110 (Rev. 10 -03) General Provisions • Page 2 of 2 1. No work shall commence until the permittee is given notice to proceed by an authorized representative of the Department. The permittee shall notify the Department five (5) working days prior to commencing the permitted work. This permit is valid for one year and SHALL BE VOID if all work is not completed and as -built drawings submitted, and the Department has not been contacted to make final inspection for approval within one year of the issuance date. 2. The permittee shall observe and comply with all applicable laws, ordinances, regulations, orders and decrees. By signing this permit, the permittee, his designated representative or successors, agree to indemnify, save harmless, and defend regardless of outcome the State from the expenses of and against all suits or claims, including costs, expenses, and attorney fees that may be incurred by reason of any act or omission, neglect, or misconduct of the permittee or its contractor in the design, construction, and maintenance or use of the facility covered by this permit. The permittee is responsible for obtaining all other necessary permits and approvals prior to starting work. The permittee must adhere to Idaho Code 55, Chapter 22, "Underground Facilities Damage Prevention ", prior to any excavation work. 3. During the progress of all work, traffic control devices shall be erected and maintained as necessary or as directed for the protection of the traveling public. All utility companies, or contractors working for utility companies, are required to identify the name of the utility company at the work site. All traffic control devices shall conform to the Manual on Uniform Traffic Control Devices for Streets and Highways (latest edition adopted by the Department) and all other Department requirements. All flagging personnel shall have flagging certification valid in Idaho (some other State's are accepted). 4. Except as herein authorized, all underground crossings shall be bored or jacked. 5. Parked equipment and stored materials shall be as far from the traveled way as feasible. Items, excavations or obstacles within 30 feet of the traveled way shall be properly marked and/or protected. 6. Upon completion of the permitted work, the permittee shall restore the site to original condition or better at no expense to the Department. Restoration includes, but is not limited to, repair of any and all damage, correction of any interferences with highway drainage, restoration of survey monuments and traffic control devices, and all required grading and seeding. All rubbish and debris shall be immediately removed from the work area, to the satisfaction of the Department. 7. The permitted work shall be subject to inspection at any time by the Department. The Department shall be reimbursed by the permittee for any additional inspection required under the Special Provisions of this permit. All work shall be in conformity with the permit requirements including location and depth or height, and current government and Industry standards. The permittee shall provide satisfactory evidence to the Department that the work was performed, and the utility located, as required by this permit. 8. A copy of this permit, complete with special provisions, plans and traffic control requirements, shall be kept at the work site at all times when work is in progress 9. This permit shall not be deemed or considered an exclusive right, and shall not prohibit the Department from using any of its highways, streets, or public places or affect its right to full supervision and control over all or any part of them, none of which is hereby surrendered. This permit shall not prohibit the Department from granting other permits or franchise rights of like or other nature to other public or private utilities. The Department reserves the right to make at any time such modification, addition, repair, relocation, or removal of an existing encroachment(s) or its appurtenances or any encroachment(s) or subject(s) authorized by this permit within the highway right -of -way as may be necessary to permit the relocation, reconstruction, widening, and maintenance of the highway and/or to provide proper protection to life and property on or adjacent to the highway. Said change or removal shall be made at the sole expense of the permittee, or its successors and assigns. All such modifications, relocation, or removal by the permittee shall be done in such a manner as will cause the least interference with the traveling public or any of the Department's work. 10. The Department may revoke, amend, amplify, or terminate this permit or any of the conditions herein enumerated if the permittee fails to comply with any or all of its provisions, requirements, or regulations as herein set forth or through willful or unreasonable neglect, fails to heed or comply with notices given, or if the utility herein granted is not installed or operated and maintained in conformity herewith. 11. The permittee shall maintain at its sole expense the structure or subject for which this permit is granted. 12. If trench or pavement settlement should occur, or any other kind of displacement, due to the work covered under this permit, within two years from the date of installation, repairs shall be made by the permittee as directed by the District Engineer at no cost to the Department. If the permittee fails to make the necessary repairs, the Department will make the repairs and bill the permittee. No new permits shall be issued to the permittee until such claims have been settled. 13. Any modification or addition to, or removal or relocation of, work granted by this permit may require a new permit for approval by the District Engineer. All work within the highway right -of -way shall be document on as -built drawings and submitted to the District within 30 days of completion of work. Also See Attached Special Provisions *Attach Reason(s) for Denial and /or Recommendations for Variance �tStIC�. $a)�fIi'f�'W: r .., Review Reviewer Name Date Recommendation Other Review Reviewer Name Date Recommendation Yes No* Yes No* Traffic - "r > :.�. ' , ;`GS 4; `. ❑ Planner ❑ ❑ Maintenance ❑ ❑ El 1:1 Design ❑ ❑ ❑ ❑ Right -of -Way ❑ ❑ : 7 Appear' ReVieW Review Reviewer Name Date Recommendation 113oard Review Reviewer Name Date Recommendation Deny Approve Deny Approve Local Agency ❑ ❑ CE ❑ ❑ DTE ❑ ❑ Hearing Offcr ❑ ❑ DE ❑ ❑ Director ❑ ❑ STE ❑ ❑ ❑ *Attach Reason(s) for Denial and /or Recommendations for Variance STATE OF IDAHO DEPARTMENT OF ENVIRONMENTAL QUALITY 900 North Skyline Drive, Suite B • Idaho Falls, Idaho 83402 • (208) 528 -2650 August 8, 2008 Danny Miller 270 American St. Rexburg, ID 83440 Re. American Self Storage Water and Sewer Design, Rexburg ID DEQ # 08 -10 -33 Dear Mr. Miller C.L. 'Butch" Otter, Governor Toni Hardesty, Director We have reviewed the plans and specifications for the proposed water and sewer systems design. The project plans and specifications appear to meet State standards and are approved. Our approval is for the design. We will give final project approval after the systems are constructed. Deviations from the approved design that might result in violations of Idaho Regulations must be reviewed by this office before field installation. This office must be kept informed of the scheduling of all construction phases so that we can make spot inspections as necessary. Within 30 days after construction, a professional engineer registered in the State of Idaho must provide this office with as -built plans, or a letter of certification stating that the project was installed substantially according to the approved design. A copy of the approved design and specifications will be kept on file at this office. Please reference DEQ No. 08 -10 -33 when submitting any future correspondence related to this project. If you have any questions please call. Sincerely, William Te scher PE Water Quality Engineer Idaho Falls Regional Office C: Gregory Eager PE, Regional Administrator Lynn Durtschi, EIHD Rexburg Carl Lohrengel, Idaho Division of Plumbing John Millar PE, Public Works, City of Rexburg Chris Park PE, Schiess & Associates. SGANN!EL. 08 -10 -33 American Self Storage eA 6 o 8 tam,